A nurse is assessing a child who has heart failure. Which of the following findings is a clinical manifestation associated with this diagnosis?

Tremors

Bradycardia

Increased appetite

Tachypnea

Answer and Explanation

The Correct Answer is D

A. Tremors are not a typical clinical manifestation of heart failure. They may be associated with conditions like hyperthyroidism or certain medications.

B. Bradycardia (slow heart rate) is not a typical finding in heart failure. In fact, tachycardia (fast heart rate) is more commonly associated with this condition.

C. Increased appetite is not a typical clinical manifestation of heart failure. Children with heart failure may actually experience poor appetite due to decreased cardiac output.

D. Correct. Tachypnea (rapid breathing) is a common clinical manifestation of heart
failure. It can occur as the body tries to compensate for the decreased cardiac output by increasing respiratory rate in an effort to maintain oxygenation.

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Correct Answer is D

Explanation

A. Changing positions frequently may be distracting and confusing for the child. It is important to find a comfortable and quiet environment for communication.

B. Exaggerating the pronunciation of words may distort the natural flow of speech and make it more difficult for the child to understand. It is best to speak clearly and at a normal pace.

C. Using light touch when initiating conversation is not effective for a child with hearing loss, as they rely primarily on visual and auditory cues for communication.

D. This is the correct action. Maintaining a neutral facial expression allows the child to observe facial cues and expressions that are important for understanding non-verbal communication. It also helps create a comfortable and natural environment for conversation.

A. Hypertension B. Increased urine output C. Increased respiratory rate D. Capillary refill of 2 seconds

Correct Answer is C

Explanation

A. Hypertension is not a typical finding in severe dehydration. In fact, dehydration often leads to decreased blood pressure.

B. Increased urine output is not a typical finding in severe dehydration. Dehydration leads to decreased urine output as the body tries to conserve fluids.

C. This is the correct answer. In severe dehydration, the body compensates by increasing the respiratory rate to try to maintain oxygen levels and remove excess carbon dioxide. This is a compensatory mechanism in response to metabolic acidosis, which can occur with dehydration.

D. A capillary refill of 2 seconds indicates normal perfusion. In severe dehydration, capillary refill may be prolonged, indicating poor perfusion.

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A nurse is assessing a child who has heart failure. Which of the following findings is a clinical manifestation associated with this diagnosis?

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